Enhancing Role Functioning in Clinical High Risk for Psychosis: An Open Trial of “InVEST” (Individualised Vocational and Educational Support and Training)

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-04-22 DOI:10.1111/eip.70041

Michelle L. West, Julia Pfluger, Shadi Sharif, Claire Goods, Michelle Friedman-Yakoobian

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引用次数: 0

Abstract

Aim

School and vocational (“role”) functioning is an important treatment target for young people exhibiting signs of clinical high risk for psychosis (CHR-P). However, there are currently no evidence-based approaches to help people at CHR-P with role functioning difficulties.

Method

This manuscript describes the development and pilot open trial evaluation of “InVEST” (Individualised Vocational and Educational Support and Training). InVEST is a coaching program designed to enhance role functioning in youth at CHR-P. InVEST is designed to be flexible, low-intensity, and easy-to-train, and it is carried out by bachelor's and undergraduate-level “coaches” who work with clients individually for 4 months. The intervention specifically targets three mechanisms believed to relate to role functioning in this clinical population: (1) organisation, (2) task initiation, and (3) distress resilience. This manuscript describes a small open trial and the iterative development of a manual based on participant feedback about this intervention in preparation for a randomised controlled trial.

Results

All participants (N = 5) completed the baseline assessment, 16 weeks of coaching, and follow-up, with no dropouts. Participants reported high satisfaction with the program, and participant feedback was used to iterate and develop the InVEST manual. Additionally, most participants showed improvement in role functioning (4/5), organisation and planning (4/5), and task initiation (3/5) following InVEST participation.

Conclusion

This small pilot study provides initial support for the feasibility and acceptability of InVEST and suggests that further study in comparison to a control condition is warranted.

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增强精神病临床高危人群的角色功能：InVEST"（个性化职业和教育支持与培训）公开试验

目的学校和职业（"角色"）功能是表现出临床高危精神病（CHR-P）症状的青少年的重要治疗目标。然而，目前还没有基于证据的方法来帮助临床高危精神病患者解决角色功能方面的困难。方法本手稿介绍了 "InVEST"（个性化职业和教育支持与培训）的开发和开放试验评估。InVEST 是一项辅导计划，旨在提高 CHR-P 青少年的角色功能。InVEST 的设计灵活、强度低、易于培训，由学士和本科水平的 "教练 "与客户单独合作 4 个月。该干预措施特别针对被认为与该临床人群的角色功能有关的三种机制：（1）组织；（2）任务启动；（3）痛苦复原力。本手稿介绍了一项小型公开试验，以及根据参与者对该干预的反馈反复编写手册，为随机对照试验做准备的过程。结果所有参与者（N = 5）都完成了基线评估、16 周的辅导和随访，没有人退出。参与者对项目的满意度很高，参与者的反馈意见被用来反复修改和编写 InVEST 手册。此外，大多数参与者在参与 InVEST 后，在角色功能（4/5）、组织和规划（4/5）以及任务启动（3/5）方面都有所改善。结论这项小型试点研究为 InVEST 的可行性和可接受性提供了初步支持，并表明有必要与对照条件进行进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.